Ulster Supported Employment and Learning

Employment Application

Please Print Clearly

Position Applied for: Job Reference:
  1. Personal Details

Surname: / Forenames:
Title:
Address:
Postcode:
Telephone: Home
Mobile / Telephone: Business
Email Address:
  1. Education and Training

School type e.g. grammar / Subjects and Qualifications Attained
University/College / Subjects and Qualifications Attained
  1. Employment History
List present and past employment, starting with your most recent employer. Please provide any gaps in employment and continue on a separate sheet if necessary.
Name and Address of Employer / Dates / Job title, main duties and responsibilities / Reason for Leaving / Salary
Name and Address of Employer / Dates
(Month/Year) / Job title, main duties and responsibilities / Reason for Leaving / Salary
  1. Qualifications

Pleasedemonstrate how you meet the essential & desirable qualifications/attainment required for this position (where applicable)
  1. Knowledge & Experience

Please provide details of how you can demonstratethe essential & desirable knowledge and experience for this position (where applicable)
6.Skills and Competencies
Please demonstrate how you meet the essential desirable skills and competencies for this postion(where applicable)
  1. Other Information
Membership of Professional Bodies
Name: / Membership Status:
Renewal Date: / Number:

Please answer the following question if the job requires this

Do you have access to a car for business purposes? Y/N
If you are unable to hold a driving license please state how you can fulfill the mobility requirements of the post you are applying for (if applicable)
Do you process the correct documentation to prove your eligibility to work in the UK? Y/N
Further information on the acceptable documentation can be found by visiting
If you do not have the required documents, you will have to provide a date of when the required documentation will be available for inspection
Interview Requirements: Please let us know if you require and adjustments in order to attend interview
Please note dates on which you are unavailable for interview:
When are you available to start work?
Please indicate how you became aware of this vacancy? Please tick
  1. Internet
/
  1. Jobs and Benefits Office

  1. Internal Trawl
/
  1. Newspaper Advertisement

  1. Other (please specify)

  1. Rehabilitation of Offenders
If shortlisted for interview you will be required to provide details of criminal convictions which may be verified through the appropriate channels. You will be informed of this at the next stage of the recruitment process.
  1. References
Referees may be contacted if an appointment is offered
  1. 1. Current or most recent employer (must be in managerial/supervisory role
/ 2. Other, not related
Name:
Position:
Address:
Postcode:
Email Address:
Daytime Tel. No: / Name:
Position:
Address:
Postcode:
Email Address:
Daytime Tel. No:

“I confirm that the information given in this application is correct. I understand that should this subsequently be found to not be the case; any offer of employment may be terminated or I may be subject to dismissal. Whilst the information given in this application is confidential, applicants are advised that legal processes may require the organisation to disclose the form to certain statutory bodies and, in some circumstances open Tribunal.

I confirm that the information provided on this application form is complete and correct and that any untrue or misleading information will give Usel the right to terminate any employment contract offered.

I understand that the appointment is subject to satisfactory pre-employment checks determined by the interview panel (including 2 two satisfactory references, satisfactory Access NI (Criminal Conviction check) and satisfactory Health Declaration check). *Where Requested

I consent to the information I have provided in this form being used for:

1. processing my application for this post, including both manual and computerised

records;

2. transfer to the employment record if I am appointed, including both computerised and

manual systems and will be held for up to 6 years thereafter and understand that this information will be processed in accordance with the Data Protection Act

I consent to the information being retained for a period of a minimum of 12 months, or longer in the event of any legal proceedings taken against the organisation by any applicant in connection with this appointment.”

Signed Date